Konda, Janardhan

Konda, Janardhan is an individual health care provider with primary practice located at 2811 Duke Of Gloucester St Suite 101, Desoto TX 75115-2017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Konda, Janardhan can be contacted via phone (972) 780-7300.

Contact Information

Primary practice address
2811 Duke Of Gloucester St Suite 101 Desoto TX 75115-2017
Phone: (972) 780-7300
Fax: (972) 780-5817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X F8923 Texas

Profile Details

NPI number 1538128236
LBN Legal business name Konda, Janardhan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Sep 25th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538128236 NPPES
Texas Other 83Y780 BCBSTX
Texas MEDICAID 100248701 BCBSTX

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